Individual
SEAN M VONDERFECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
223 E 14TH ST STE 40, HASTINGS, NE 68901-3240
(402) 462-2665
Mailing address
223 E 14TH ST STE 40, HASTINGS, NE 68901-3240
(402) 462-2665
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1893
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39676
BLUE CROSS
NE
Enumeration date
11/22/2006
Last updated
03/21/2008
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